Liao Z, Gao R, Li F, Xu C, Zhou Y, Wang JS, Li ZS. Fields of applications, diagnostic yields and findings of OMOM capsule endoscopy in 2400 Chinese patients. World J Gastroenterol 2010; 16(21): 2669-2676 [PMID: 20518090 DOI: 10.3748/wjg.v16.i21.2669]
Corresponding Author of This Article
Zhao-Shen Li, Professor, Capsule Endoscopy Study Group, Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China. zhaoshenli@hotmail.com
Article-Type of This Article
Brief Article
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World J Gastroenterol. Jun 7, 2010; 16(21): 2669-2676 Published online Jun 7, 2010. doi: 10.3748/wjg.v16.i21.2669
Table 1 Fields of application for OMOM capsule endoscopy in Chinese patients
Fields of application
n (%)
Obscure gastrointestinal bleeding
1232 (51.3)
Abdominal pain
642 (26.8)
Chronic diarrhea
223 (9.3)
Health examination
103 (4.3)
Suspected Crohn’s disease
52 (2.2)
Iron deficiency anemia
34 (1.4)
Suspected tumors
25 (1.0)
Unexplained weight loss
19 (0.8)
Small intestinal polyposis
10 (0.4)
Ileus
10 (0.4)
Others
50 (2.0)
Total
2400 (100.0)
Table 2 Small bowel findings on OMOM capsule endoscopy in 2400 Chinese patients n (%)
Findings
Overall
OGIB
Non-OGIB
Sum
2400 (100.0)
1232 (100.0)
1168 (100.0)
Negative
1256 (52.3)
463 (37.6)
793 (67.9)
Positive
1144 (47.7)
769 (62.4)
375 (32.1)
Arteriovenous malformations
322 (28.1)
313 (40.7)
9 (2.4)
Tumor
216 (18.9)
201 (26.1)
15 (4.0)
Polyp
119 (10.4)
24 (3.1)
95 (25.3)
Crohn’s disease
90 (7.9)
23 (3.0)
67 (17.9)
Ulcer
89 (7.8)
41 (5.3)
48 (12.8)
Mucosal erosion
82 (7.2)
19 (2.5)
63 (16.8)
Duodenal ulcer
60 (5.2)
38 (4.9)
22 (5.9)
Active bleeding
59 (5.2)
57 (7.4)
2 (0.5)
Parasite
43 (3.8)
31 (4.0)
12 (3.2)
Hookworm
26 (2.3)
26 (3.4)
0 (0.0)
Lumbricoides
16 (1.4)
4 (0.5)
12 (3.2)
Strobilus
1 (0.1)
1 (0.1)
0 (0.0)
Lymphanglectasia
23 (2.0)
0 (0.0)
23 (6.1)
Diverticulum
21 (1.8)
18 (2.3)
3 (0.8)
Celiac diseases
7 (0.6)
0 (0.0)
7 (1.9)
Others
13 (1.1)
4 (0.5)
9 (2.4)
Table 3 Gender and age differences of small bowel findings on OMOM capsule endoscopy in 1232 Chinese patients with obscure gastrointestinal bleeding n (%)
Table 4 Small bowel findings on OMOM capsule endoscopy in Chinese patients with abdominal pain and chronic diarrhea n (%)
Abdominal pain subgroup
Chronic diarrhea subgroup
Sum
642 (100.0)
223 (100.0)
Negative
389 (60.6)
191 (85.7)
Positive
253 (39.4)
32 (14.3)
Polyp
66 (26.1)
15 (46.9)
Mucosal erosion
60 (23.7)
0 (0.0)
Ulcer
39 (15.4)
1 (3.1)
Crohn’s disease
22 (8.7)
4 (12.5)
Lymphanglectasia
22 (8.7)
1 (3.1)
Duodenal ulcer
18 (7.1)
0 (0.0)
Lumbricoides
10 (4.0)
1 (3.1)
Tumor
4 (1.6)
1 (3.1)
Diverticulum
1 (0.4)
0 (0.0)
Celiac diseases
1 (0.4)
6 (18.8)
Others
10 (4.0)
3 (9.4)
Table 5 Findings on OMOM capsule endoscopy in subjects for health examination n (%)
Findings
n (%)
Sum
103 (100.0)
Negative
76 (73.8)
Positive
27 (26.2)
Small intestinal polyp
7 (25.9)
Colonic polyp
4 (14.8)
Reflux esophagitis
3 (11.1)
Diverticula of colon
2 (7.4)
Duodenal ulcer
2 (7.4)
Small intestinal diverticula
2 (7.4)
Small intestinal mucosal erosion
2 (7.4)
Colonic ulcer
1 (3.7)
Duodenal diverticulum
1 (3.7)
Esophagopolypus
1 (3.7)
Gastric polyp
1 (3.7)
Small intestinal tumor
1 (3.7)
Table 6 The comparison of OMOM and PillCam SB capsule endoscopy
Technical specifications
OMOM
PillCam SB
Length (mm)
27.9
26
Diameter (mm)
13
11
Weight (g)
≤ 6
3.4
Frame rate (frames/s)
0.5/1/2 (adjustable)
2 (fixed)
Image sensor
CCD
CMOS
Shutter speed (s)
1/200
1/30
Image resolution (mm)
0.05
0.1
Pixel
300 000
80 000
Field of view (°)
140 ± 10
140
Illumination
6 white LEDs
6 white LEDs
Antennas (body leads)
14
8
Real-time (RT) view
RT monitoring
RT viewer
Recording time (h)
8-16
8
Capsule-workstation duplex communication
Yes
No
Cost, $ (in China)
400-800
1000-1200
Citation: Liao Z, Gao R, Li F, Xu C, Zhou Y, Wang JS, Li ZS. Fields of applications, diagnostic yields and findings of OMOM capsule endoscopy in 2400 Chinese patients. World J Gastroenterol 2010; 16(21): 2669-2676